SHAFINAH SAMSUDIN


Address: 43676 Trade Center Pl Ste 135, Sterling, VA 20166-2124
Phone: 7039397741

SHAFINAH SAMSUDIN (NPI# 1346683919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346683919
Entity Type Individual
Full Name SHAFINAH SAMSUDIN
Credential LPC
Practice Address 43676 Trade Center Pl Ste 135
Sterling
VA 20166-2124
Practice Telephone 7039397741
Practice Fax Number 7035430443
Mailing Telephone 7039397741
Mailing Fax Number 7035430443
Enumeration Date 2013-04-12
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
0710102755 VA Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
0701005338 VA Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
0701005338 VA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
46950 Community Plz, 211, Sterling, VA 201641814 4127219957

Office Location

Street Address 43676 TRADE CENTER PL STE 135
City STERLING
State VA
Zip Code 20166-2124

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841564713 Ellie Hsieh Marriage & Family Therapist 43676 Trade Center Pl Ste 135, Sterling, VA 20166-2124 2012-02-23
1942728886 Ellie Hsieh, Lmft, LLC Marriage & Family Therapist 43676 Trade Center Pl Ste 135, Sterling, VA 20166-2124 2017-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881187458 Vincent Seng Behavior Technician 4040 Center Oak Plaza, Suite 150, Sterling, VA 20166 2018-06-08
1205339348 Morgan Elyse Gillum Occupational Therapist 45305 Catalina Ct Ste 101, Sterling, VA 20166 2018-03-15
1376090548 Chelsea Moore Behavioral Analyst 46040 Center Oak Plz Ste 150, Sterling, VA 20166 2016-09-06
1194175711 Krisha Verma Dentist 21631 Ridgetop Cir Ste 240, Sterling, VA 20166 2016-06-14
1265898571 Bba Home Health Care Home Health 23420 Summerstown Place, Dulles, VA 20166 2016-01-04
1588038590 Mancy Modi Physical Therapist 45305 Catalina Court, Suite 103, Sterling, VA 20166 2015-11-16
1912300377 Kiley Coleman Gibbs Physical Therapist 21631 Ridgetop Cir Ste 225a, Sterling, VA 20166 2014-09-30
1053712554 Rx Ante Pharmacy Services, LLC Pharmacy 21630 Ridgetop Circle, Suite 100, Sterling, VA 20166 2014-09-16
1972904738 Northern Virginia Community Hospital LLC General Acute Care Hospital 24440 Stone Springs Boulevard, Dulles, VA 20166 2014-09-11
1518304641 Institute for The Psychological Sciences Psychologist 45154 Underwood Ln., Sterling, VA 20166 2013-05-30
Find all providers in zip 20166

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588135776 Kenai Peninsula Mental Health Counselor 38231 Sterling, Hwy., Sterling, AK 99672 2018-12-16
1215402532 Jill Christine Changizi-kerr Counselor Dulles Psychological Services, 21351 Gentry Drive, Ste. 200, Sterling, VA 20166-8512 2018-10-13
1750822144 Lydia Butner Counselor 112 S Broadway Ave, Suite 5, Sterling, KS 67579-2133 2017-03-17
1316149958 Judith Nmn Stephens Counselor 228 S 3rd St, Sterling, CO 80751-4275 2007-06-05
1912083742 Stephanie Kolar Counselor 22636 Glenn Dr Ste 105, Sterling, VA 20164-4442 2006-10-27
1376638650 Lillian Clarise St. Laurent Counselor 22636 Glenn Drive Suite 105, Sterling, VA 20164 2006-10-04
1235240805 Russell Parrish Carlton Sr. Counselor 22636 Glenn Dr, Suite 105, Sterling, VA 20164-4494 2006-08-31
1114033354 Pamela Denise St Joseph Counselor 2611 Woodlawn Rd, Sterling, IL 61081-4151 2006-08-21
1134156268 Marta Louise Wells Counselor 210 S. 4th, Sterling, CO 80751 2006-06-26
1083231195 Community Behavioral Health Services, LLC Counselor 915 S Division Ave, Sterling, CO 80751-4103 2020-07-06
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Competitor

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City STERLING
Zip Code 20166

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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